ORDER CONFIRMATION

Supplier : Erba Lachema s.r.o. Document No. : 650 170097

Karásek 2219/1d
621 00 Brno Date of issue : 10.1.2017
Czech Republic Your Order No. :
Reg. No. 26918846 Vat No. CZ26918846
Entered in the Commercial Register at the Reg.Commercial Court in Brno,
Section C, Riger 45458
Reference No. :

Phone : Fax : E-mail :

Bank: CITIBANK, PRAHA Account No.: 2063370307/2600 IBAN: CZ16 2600 0000 0020 6337 0307 BIC: CITICZPX

Destination : DISTRITECH Customer : DISTRITECH

26 BP 177 Abidjan 26 26 BP 177 Abidjan 26

Centre TALIA Rue Pierre et Marie CURIE Centre TALIA Rue Pierre et Marie CURIE
* Abidjan * Abidjan
IVORY COAST IVORY COAST
Shipment date : Cust No.: 1994
Terms of delivery : Reg. No. Vat No.
Shipping conditions :
Terms of payment :
Currency EUR
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
1 12000003 HDL C 160 5,00 PCS 68,40 342,00
R1: 4 x 30 ml + R2: 4 x 10 ml
XSYS0043
Batch: 1611107 Expiration: 30.6.2018

2 12000007 LDL C 80 2,00 PCS 68,40 136,80

R1: 2 x 30 ml + R2: 2 x 10 ml
XSYS0044
Batch: 1611088 Expiration: 30.4.2018

3 12000009 HDL/LDL CAL 2,00 PCS 33,72 67,44

2 x 1 ml
XSYS0061
Batch: 1608063 Expiration: 28.2.2018

4 12000010 XL MULTICAL 5,00 PCS 31,68 158,40

4 x 3 ml
XSYS0034
Batch: 1609103A Expiration: 31.12.2017

5 12000012 ERBA NORM 10,00 PCS 21,60 216,00

R1: 4 x 5 ml + R2: 1 x 20 ml
BLT00080
Batch: 1611012 Expiration: 31.10.2018

6 12000013 ERBA PATH 10,00 PCS 21,60 216,00

R1: 4 x 5 ml + R2: 1 x 20 ml
BLT00081
Batch: 1609073 Expiration: 31.10.2018

7 12000016 ALP 110 2,00 PCS 9,36 18,72

R1: 2 x 44 ml + R2: 2 x 11 ml
XSYS0002
Batch: 1609024 Expiration: 31.3.2018

Issued by : Hana Jelínková

Order confirmation : 650170097 Page: 1 / 5
 ORDER CONFIRMATION
Supplier : Erba Lachema s.r.o. Document No. : 650 170097
621 00 Brno
Currency EUR
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
8 12000017 AMY 110 2,00 PCS 33,36 66,72
R1: 5 x 22 ml
XSYS0003
Batch: 1606114 Expiration: 31.1.2018

9 12000018 CREA 275 5,00 PCS 8,18 40,90

R1: 5 x 44 ml + R2: 5 x 11 ml
XSYS0024
Batch: 1610068 Expiration: 31.10.2018

10 12000019 GGT 110 2,00 PCS 12,96 25,92

R1: 2 x 44 ml + R2: 2 x 11 ml
XSYS0011
Batch: 1607034 Expiration: 31.7.2019

11 12000020 CHOL 440 5,00 PCS 21,24 106,20

R1: 10 x 44 ml
XSYS0009 available January 13th

12 12000021 LDH 110 1,00 PCS 7,68 7,68

R1: 2 x 44 ml + R2: 2 x 11 ml
XSYS0013
Batch: 1609061 Expiration: 31.12.2018

13 12000024 UREA 275 5,00 PCS 13,92 69,60

R1: 5 x 44 ml + R2: 5 x 11 ml
XSYS0020
Batch: 1610031 Expiration: 30.6.2018

14 12000032 BIL D 330 1,00 PCS 11,40 11,40

R1: 6 x 44 ml + R2: 3 x 22 ml
XSYS0028
Batch: 1608086 Expiration: 31.8.2018

15 12000034 BIL T 330 1,00 PCS 11,40 11,40

R1: 6 x 44 ml + R2: 3 x 22 ml
XSYS0023
Batch: 1608087 Expiration: 31.8.2018

16 12000038 CA 120 20,00 PCS 11,28 225,60

R1: 10 x 12 ml
XSYS0007
Batch: 1612053 Expiration: 30.9.2018

17 12000040 CK 110 2,00 PCS 23,52 47,04

R1: 2 x 44 ml + R2: 2 x 11 ml
XSYS0022
Batch: 1611134 Expiration: 30.11.2017

18 12000042 CK MB 110 2,00 PCS 42,96 85,92

R1: 2 x 44 ml + R2: 2 x 11 ml
XSYS0029
Batch: 1611132 Expiration: 30.9.2017

19 12000044 CREA 200 5,00 PCS 5,16 25,80

R1: 2 x 50 ml + R2: 2 x 50 ml + R3 STD: 1 x 5 ml
BLT00020
Batch: 1610069 Expiration: 31.10.2018

20 12000048 GLU 500 5,00 PCS 10,80 54,00

R1: 2 x 250 ml + R2 STD: 2 x 5 ml
BLT00025
Batch: 1607022 Expiration: 31.1.2019

Issued by : Hana Jelínková

Order confirmation : 650170097 Page: 2 / 5
 ORDER CONFIRMATION
Supplier : Erba Lachema s.r.o. Document No. : 650 170097
621 00 Brno
Currency EUR
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
21 12000051 GLU 440 5,00 PCS 12,00 60,00
R1: 10 x 44 ml
XSYS0012
Batch: 1610034 Expiration: 30.4.2019

22 12000055 CHOL 5x50 3,00 PCS 10,80 32,40

R1: 5 x 50 ml + R2 STD: 1 x 3 ml
BLT00034 available January 13th

23 12000063 PHOS 120 2,00 PCS 9,12 18,24

R1: 10 x 12 ml
XSYS0015
Batch: 1610007 Expiration: 31.10.2018

24 12000065 AST/GOT 250 5,00 PCS 9,60 48,00

R1: 4 x 50 ml + R2: 1 x 50 ml
BLT00050
Batch: 1609027 Expiration: 31.12.2018

25 12000067 AST/GOT 330 5,00 PCS 13,08 65,40

R1: 6 x 44 ml + R2: 3 x 22 ml
XSYS0016
Batch: 1609082 Expiration: 31.12.2018

26 12000068 ALT/GPT 250 5,00 PCS 9,60 48,00

R1: 4 x 50 ml + R2: 1 x 50 ml
BLT00052
Batch: 1609029 Expiration: 31.12.2018

27 12000070 ALT/GPT 330 5,00 PCS 13,08 65,40

R1: 6 x 44 ml + R2: 3 x 22 ml
XSYS0017
Batch: 1612065 Expiration: 31.3.2019

28 12000074 TG 100 3,00 PCS 10,20 30,60

R1: 2 x 50 ml + R2 STD: 1 x 3 ml
BLT00057
Batch: 1610049 Expiration: 30.4.2018

29 12000077 TG 440 5,00 PCS 38,04 190,20

R1: 10 x 44 ml
XSYS0041
Batch: 1610048 Expiration: 31.10.2018

30 12000079 UREA 250 5,00 PCS 11,01 55,05

R1: 4 x 50 ml + R2: 1 x 50 ml + R3 STD: 1 x 5 ml
BLT00061
Batch: 1610011 Expiration: 30.6.2018

31 12000080 UA SINGLE 200 2,00 PCS 9,60 19,20

R1: 4 x 50 ml + R2 STD: 1 x 5 ml
BLT00062
Batch: 1608088 Expiration: 30.11.2018

32 12000081 UA 440 5,00 PCS 27,36 136,80

R1: 10 x 44 ml
XSYS0042
Batch: 1605119 Expiration: 31.8.2018

33 12000084 XL WASH 20,00 PCS 18,48 369,60

4 x 100 ml
XSYS0066
Batch: 1612059 Expiration: 31.3.2021

Issued by : Hana Jelínková

Order confirmation : 650170097 Page: 3 / 5
 ORDER CONFIRMATION
Supplier : Erba Lachema s.r.o. Document No. : 650 170097
621 00 Brno
Currency EUR
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
34 12000135 ASO CAL SH 1,00 PCS 18,00 18,00
1 x 1 ml
XSYS0051
Batch: 1601070 Expiration: 31.8.2018

35 12000136 CRP CAL SH 1,00 PCS 26,40 26,40

1 x 1 ml
XSYS0053
Batch: 1608035 Expiration: 31.8.2018

36 12000137 RF CAL SH 1,00 PCS 18,00 18,00

1 x 1 ml
XSYS0052
Batch: 1509044 Expiration: 31.7.2018

37 12000139 ASO 2,00 PCS 66,00 132,00

R1: 2 x 40 ml + R2: 2 x 10 ml
XSYS0046
Batch: 1606123 Expiration: 31.5.2018

38 12000143 CRP 10,00 PCS 36,00 360,00

R1: 2 x 40 ml + R2: 2 x 10 ml
XSYS0047
Batch: 1607005 Expiration: 31.12.2019

39 12000148 HBA1C CAL SET 1,00 PCS 96,00 96,00

4 x 0.25 ml
XSYS0057
Batch: 1612018 Expiration: 30.11.2017

40 12000149 HBA1C CON H 2,00 PCS 21,16 42,32

1 x 0.25 ml
XSYS0056
Batch: 1611146 Expiration: 30.11.2017

41 12000150 HBA1C CON L 2,00 PCS 21,60 43,20

1 x 0.25 ml
XSYS0055
Batch: 1611142 Expiration: 30.11.2017

42 12000151 HBA1C 10,00 PCS 117,60 1 176,00

R1: 1 x 24 ml + R2a: 1 x 8 ml, R2b: 1 x 4 ml + R3: 2 x 50 ml
XSYS0054
Batch: 1611138 Expiration: 31.12.2017

43 12000156 MAL 2,00 PCS 40,80 81,60

R1: 2 x 30 ml + R2: 1 x 10 ml
XSYS0083 available beginning February

44 12000158 MULTICON L1 2,00 PCS 12,00 24,00

1 x 1 ml
BLT20034
Batch: 1603036 Expiration: 30.11.2017

45 12000160 MULTICON L2 2,00 PCS 19,20 38,40

1 x 1 ml
BLT20035
Batch: 1603037 Expiration: 30.11.2017

46 12000162 RF 2,00 PCS 112,80 225,60

R1: 2 x 40 ml + R2: 2 x 8 ml
XSYS0048
Batch: 1507085 Expiration: 31.12.2018

Issued by : Hana Jelínková

Order confirmation : 650170097 Page: 4 / 5
 ORDER CONFIRMATION
Supplier : Erba Lachema s.r.o. Document No. : 650 170097
621 00 Brno
Currency EUR
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
47 50004021 ELITE 5 WASH HEAD A5330 1,00 PCS 175,50 175,50
Batch: 24102016 Expiration:

48 50004041 ELITE VALVE 2/2 A504 4,00 PCS 122,60 490,40

Batch: 19102015 Expiration:

49 50004041 ELITE VALVE 2/2 A504 1,00 PCS 122,60 122,60

Batch: 09112015 Expiration:

50 50004042 ELITE VALVE 3/2 A505 3,00 PCS 125,60 376,80

Batch: 09112015 Expiration:

51 50004042 ELITE VALVE 3/2 A505 2,00 PCS 125,60 251,20

available mid/end February

52 50004260 ELITE 5 SAMPLE ROTOR 1,00 PCS 800,00 800,00

Batch: INV-27082012 Expiration:

53 52000075 ERBA LYTE Ca REAGENT PACK 5,00 PCS 110,40 552,00

650 ml STD A + 350 ml STD B
REG00012
Batch: 201610 Expiration: 30.4.2018

54 00156 Freight charge 1,00 860,00 860,00

Total amount without tax 8 982,45

Issued by : Hana Jelínková

Order confirmation : 650170097 Page: 5 / 5